Need a questioner Form Built (see example)

Hello need help creating our own Iframe questioner for my website below, I am a current buyer zone affiliate and I use their Iframe questioner code. (Iframe is below guy pointing's Picture) I need someone to help us create and maintain our own similar Iframe questioner OPT in Form, we will be keeping data in house and just need notification with who ever enters information via Email service.. we will be using same questions.. yes keep same style we just need unique icons.. with all same form filling functionality..

Only respond if you are someone that has experience and can prove proof that you can recreate a similar solution to example of buy zone Iframe